{"id":4242,"date":"2026-01-06T15:59:00","date_gmt":"2026-01-06T15:59:00","guid":{"rendered":"https:\/\/services.nhslothian.scot\/carehomes\/?page_id=4242"},"modified":"2026-01-06T16:00:36","modified_gmt":"2026-01-06T16:00:36","slug":"ongoing-supportive-conversations-and-reflective-sessions-oscars","status":"publish","type":"page","link":"https:\/\/services.nhslothian.scot\/carehomes\/ongoing-supportive-conversations-and-reflective-sessions-oscars\/","title":{"rendered":"OSCaRS (Ongoing Supportive Conversations and Reflective Sessions)"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"344\" src=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2024\/04\/Logo-free-header-05-04-24-1024x344.jpg\" alt=\"Three image side by side in a row.\nImage 1: Person cupping their hand to their ear to indicate listening\nImage 2: Three people talking, one leading the conversation\nImage 3: stones on rippled water to indicate peace and reflection\" class=\"wp-image-9190\" srcset=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2024\/04\/Logo-free-header-05-04-24-1024x344.jpg 1024w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2024\/04\/Logo-free-header-05-04-24-300x101.jpg 300w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2024\/04\/Logo-free-header-05-04-24-768x258.jpg 768w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2024\/04\/Logo-free-header-05-04-24-1536x516.jpg 1536w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2024\/04\/Logo-free-header-05-04-24-2048x688.jpg 2048w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2024\/04\/Logo-free-header-05-04-24-1520x510.jpg 1520w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\" data-initially-open=\"false\" data-click-to-close=\"true\" data-auto-close=\"true\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-42420\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">Developing the OSCaRS &#8211; Research and Evidence<\/h2><div id=\"ac-42420\" class=\"c-accordion__content\">\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\" data-initially-open=\"false\" data-click-to-close=\"true\" data-auto-close=\"true\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-42421\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">The Initial Study &#8211; OSCaRS: &#8220;Online Supportive Conversations and Reflective Sessions&#8221;<\/h2><div id=\"ac-42421\" class=\"c-accordion__content\">\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">This study looked at the feasibility and effectiveness of \u2018Online Supportive Conversations and Reflection Sessions&#8217; (OSCaRS) during the 1<sup>st<\/sup>&nbsp;wave of the COVId-19 pandemic.&nbsp;<br><br>The work was carried out by a team of researchers affiliated to <a rel=\"noreferrer noopener\" href=\"https:\/\/services.nhslothian.scot\/carehomes\/resources\/research__trashed\/care-home-innovation-partnership\/\" target=\"_blank\">Lothian\u2019s Care Home Innovation Partnership (CHiP)<\/a>.&nbsp; Dr Julie Watson &amp; Dr Jo Hockley (University of Edinburgh) undertook the OSCaRS and the project was evaluated by Lucy Johnston (Edinburgh Napier University).&nbsp;<br><br>34 staff attended 11 OSCaRS; not only were they found to be feasible but were really appreciated by the staff who attended them.&nbsp;&nbsp;<em>Follow the link below to read the report<\/em>.<br><br><a rel=\"noreferrer noopener\" href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2022\/02\/Covid-19-OSCaR-CSO-report_.pdf\" target=\"_blank\">Online Supportive Conversations and Reflection Sessions (OSCaRS) &#8211; A Feasibility Study with care home staff during the pandemic<\/a><\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-pb-accordion-item c-accordion__item js-accordion-item no-js\" data-initially-open=\"false\" data-click-to-close=\"true\" data-auto-close=\"true\" data-scroll=\"true\" data-scroll-offset=\"0\"><h2 id=\"at-42422\" class=\"c-accordion__title js-accordion-controller\" role=\"button\">Further Study, Evaluation and Implementation<\/h2><div id=\"ac-42422\" class=\"c-accordion__content\">\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\">January 2021 &#8211; January 2022<\/h4>\n\n\n\n<p><strong>Team<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Led by Dr Susan Shenkin (Reader and Honorary Consultant Geriatrician, University of Edinburgh\/NHS Lothian)<\/li>\n\n\n\n<li>Dr Jo Hockley (Edinburgh University)<\/li>\n\n\n\n<li>Dr Julie Watson (Edinburgh University)<\/li>\n\n\n\n<li>Lucy Johnston (Edinburgh University) <\/li>\n\n\n\n<li>Jacqueline Murray (NHS Lothian) <\/li>\n<\/ul>\n\n\n\n<p class=\"has-standard-black-color has-text-color\">The team secured funding from Edinburgh and Lothians Health Foundation (ELHF) to develop a team of practitioners to roll-out OSCaRS up to 50 Care Homes across the Lothians.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h4 class=\"wp-block-heading\">Evaluation &#8211; January 2022<\/h4>\n\n\n\n<p>The evaluation was presented in January 2022. It confirmed the positive impact of OSCaRS as a proactive vehicle for the provision of palliative and end of life care practice-based learning and emotional support for Care Home staff. Feedback received from the participating care homes was overwhelmingly positive.<br><br>The roll out demonstrated that OSCaRS is an effective and flexible model for providing support and context specific practice-based learning either as a planned regular monthly activity or in response to unexpected and sudden deaths<strong>.<\/strong><br><br>The OSCaRS was moved to sit within&nbsp; <a rel=\"noreferrer noopener\" href=\"https:\/\/weare.nhslothian.scot\/carehomes\/nhs-teams\/care-home-programme-teams\/\" target=\"_blank\">NHS Lothian Care Home Programme Team<\/a>&nbsp;and renamed \u2018Ongoing Supportive Conversations and Reflective Sessions\u2019.<strong> <\/strong><em>Follow link below to read the Report<\/em>:<br><br><a rel=\"noreferrer noopener\" href=\"https:\/\/weare.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2022\/09\/OSCaR-Roll-Out-FINAL-REPORT-22022022.pdf\" target=\"_blank\">From Online to Ongoing: The Roll Out of Supportive Conversations and Reflection Sessions (OSCaRS) with Care Home Staff in Lothian<\/a><br><br><\/p>\n<\/div><\/div>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group alignwide has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">What are OSCaRS<\/h2>\n\n\n\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">OSCaRS are reflective debriefing sessions. The aim is to facilitate practice-based learning and support staff around palliative and end of life care, in relation to a recent death, event or incident related to palliative care (difficult conversations, Future Care Planning, use of medication, recognising the deteriorating resident).<br><br>OSCaRS facilitate a process of new learning which helps staff identify what needs to change and affirms what is working well &#8211; this is of great value to staff to have the good work they are doing recognised.<br><br>OSCaRS also provide an opportunity for staff to value each other\u2019s experiences through a caring educational conversation.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image alignwide size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/02\/OSCaR-sessions-2-1024x768.jpg\" alt=\"Picture of three people chatting with speech bubbles above them with descriptive words and phrases relating to the OSCaRS of the OSCaRS such as &quot;you matter&quot; and &quot;education&quot;\" class=\"wp-image-4313\" srcset=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/02\/OSCaR-sessions-2-1024x768.jpg 1024w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/02\/OSCaR-sessions-2-300x225.jpg 300w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/02\/OSCaR-sessions-2-768x576.jpg 768w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/02\/OSCaR-sessions-2-1536x1152.jpg 1536w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/02\/OSCaR-sessions-2-2048x1536.jpg 2048w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/02\/OSCaR-sessions-2-1520x1140.jpg 1520w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">We listen. We explain. We guide and reassure.<br>We value  opinions and feedback.<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">All Care Homes involved in the OSCaRS will be allocated a Facilitator, to provide continuity in the delivery of an OSCaRS.  All Facilitators come with a great wealth of knowledge, training and experience, from within Palliative Care, Clinical Education, Care Homes and Community Nursing. Facilitators use the OSCaRS model  for the provision of palliative and end-of-life care practice-based learning and emotional support for Care Home staff.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group alignwide has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\">The OSCaRS Session <\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\"><br>The duration of an OSCaR session is approximately one hour and 1- 6 people are welcome to attend each session. Sessions are open to everyone who works in the Care Home e.g., domestic staff, carers, porters and nursing staff.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Where<\/h4>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">The sessions are held within the Care Home, providing a safe space to discuss and share staff experiences openly and confidentially.  This is hugely beneficial for staff as each session is interactive and provides education, reassurance and feedback whilst maintaining confidentiality.<\/p>\n<\/div>\n<\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Who leads the OSCaRS <\/h4>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">All Care Homes are allocated an OSCaRS Facilitator who will use the OSCaRS model to facilitate discussion in sessions with staff.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h4 class=\"wp-block-heading\">What happens in a session<\/h4>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">The OSCaRS Facilitator will help Care Home staff to reflect on the recent death of a resident or a situation that involves palliative care. The session will focus on and explore:<\/p>\n\n\n\n<ul style=\"font-style:normal;font-weight:400\" class=\"wp-block-list has-regular-font-size\">\n<li>The events leading up to the resident&#8217;s death or incident<\/li>\n\n\n\n<li class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">Reflecting on what staff felt went well<\/li>\n\n\n\n<li>Reflecting on what staff felt didn&#8217;t go well<\/li>\n\n\n\n<li>What might have been done differently<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><style>.wp-block-kadence-spacer.kt-block-spacer-4242_985632-08 .kt-block-spacer{height:30px;}.wp-block-kadence-spacer.kt-block-spacer-4242_985632-08 .kt-divider{border-top-width:1px;height:1px;border-top-color:#eee;width:80%;border-top-style:solid;}<\/style>\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-4242_985632-08\"><div class=\"kt-block-spacer kt-block-spacer-halign-center\"><hr class=\"kt-divider\" \/><\/div><\/div>\n\n\n<div class=\"wp-block-image is-resized\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/02\/Playing-with-CET-images-for-webpage-Logo-6.jpg\" alt=\"OSCaRS reflective cycle - circle with OSCARS in the middle and outer circle has &quot;emotional support&quot; at 12 o'clock, &quot;Practice based learning&quot; at 3 o'clock, &quot;training&quot; at 6 o'clock and &quot;reflection&quot; at 9 o'clock\" class=\"wp-image-4331\" srcset=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/02\/Playing-with-CET-images-for-webpage-Logo-6.jpg 500w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/02\/Playing-with-CET-images-for-webpage-Logo-6-300x300.jpg 300w, https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2023\/02\/Playing-with-CET-images-for-webpage-Logo-6-150x150.jpg 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><figcaption class=\"wp-element-caption\">The OSCaRS Reflective Cycle<\/figcaption><\/figure>\n<\/div><\/div>\n<\/div>\n\n\n\n<h4 class=\"wp-block-heading\">After the session &#8211; Communication and Record Keeping<\/h4>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">At the end of each session the Facilitator will forward an email to the Care Home manager. The email will highlight the learning outcomes from the session. The Care Home manager may wish to keep these documents as evidence of staff participation in education, including evidence of good practice for the Care Inspectorate.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Resource<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">A leaflet <a href=\"https:\/\/services.nhslothian.scot\/carehomes\/wp-content\/uploads\/sites\/31\/2024\/03\/OSCaRS-Sign-Post-For-Care-Homes.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Sign post for Care Home Staff Experiencing Emotional Distress<\/a>was designed by the\u00a0OSCaRS Team and details services available to staff and managers for support on different aspects of wellbeing.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group alignwide has-light-accent-grey-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h2 class=\"wp-block-heading\">Contact and more information<\/h2>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">If you&#8217;d like further information or a chat about the OSCaRS and how you and your Care Home can become involved please contact: <a rel=\"noreferrer noopener\" href=\"mailto:loth.oscars@nhslothian.scot.nhs.uk\" target=\"_blank\">loth.oscars@nhslothian.scot.nhs.uk<\/a><\/p>\n<\/div><\/div>\n\n\n\n<p class=\"has-regular-font-size\" style=\"font-style:normal;font-weight:400\">Updated Novemeber 2025 IC, AP &amp; HS<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What are OSCaRS OSCaRS are reflective debriefing sessions. The aim is to facilitate practice-based learning and support staff around palliative and end of life care, in relation to a recent death, event or incident related to palliative care (difficult conversations, Future Care Planning, use of medication, recognising the deteriorating resident). OSCaRS facilitate a process of<\/p>\n","protected":false},"author":47,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"page-templates\/mainmenuvertical.php","meta":{"footnotes":""},"categories":[],"class_list":["post-4242","page","type-page","status-publish","hentry"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"hazelstewart","author_link":"https:\/\/services.nhslothian.scot\/carehomes\/author\/hazelstewart\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":"What are OSCaRS OSCaRS are reflective debriefing sessions. The aim is to facilitate practice-based learning and support staff around palliative and end of life care, in relation to a recent death, event or incident related to palliative care (difficult conversations, Future Care Planning, use of medication, recognising the deteriorating resident). OSCaRS facilitate a process of","_links":{"self":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/4242","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/users\/47"}],"replies":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/comments?post=4242"}],"version-history":[{"count":49,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/4242\/revisions"}],"predecessor-version":[{"id":13631,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/pages\/4242\/revisions\/13631"}],"wp:attachment":[{"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/media?parent=4242"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/services.nhslothian.scot\/carehomes\/wp-json\/wp\/v2\/categories?post=4242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}